Patient Accounting Financial Services Mgr

About the Role

The patient accounting and financial service manager is responsible for the daily operations of all referrals to the facility, including scheduling, registration or admission, and financial counseling functions at all facility access points in support of the revenue and reporting cycle. The manager interacts with departments at all levels to ensure accuracy of information and quality of processes, works closely with the department director to assess and improve performance, and ensures orientation and continuing education of departmental staff. This leader promotes service excellence, recommends resources/space needed by the department, may participate in the selection of outside services, and assists the director in developing and implementing policies and procedures that guide or support service.

Manager Responsibilities

• Effectively administers the performance management system, including developmental feedback, goal setting, competency assessment, and progressive discipline.
• Strong knowledge of and effective administration of hospital policies and procedures.
• Strong knowledge of governmental regulations related to Medicare and Medicaid billing and compliance.
• Thorough understanding of billing requirements for Medicare/Medicaid and private payors.
• Ability to interpret complex governmental regulations and apply them practically.
• Ability to interpret managed‑care contracts and apply them to the revenue cycle.
• Responsible for sound management of human resources.
• Makes and implements decisions compatible with organizational goals.
• Maintains composure, effectiveness, and flexibility under pressure.

Essential Duties and Responsibilities

• Maintain the utmost level of confidentiality.
• Adhere to hospital policies and procedures.
• Demonstrate ethical business practices and comply with corporate integrity and compliance guidelines.
• Implement and promote excellent customer service, responding to all inquiries promptly and professionally to ensure satisfaction of patients, providers, payers, and other associates.
• Demonstrate knowledge of patient accounting, financial counseling, registration/admissions, benefit verification, and authorization workflows.
• Complete in‑depth management reports, summarizing weekly and monthly performance.
• Multi‑task effectively and interpret complex governmental regulations related to Medicare and Medicaid for the revenue cycle.
• Maintain a positive attitude and provide personal service consistently.
• Exhibit exceptional communication and interpersonal skills when interacting with department management and staff at all levels.
• Work closely with the department director to interview, hire, evaluate, and counsel department staff.
• Ensure compliance with DCH and department policies and procedures.
• Facilitate staff participation in the Corporate Integrity Program.
• Participate in and initiate process‑improvement resolutions as indicated.
• Ensure all patient‑access processes are completed professionally and thoroughly.
• Collaborate with the Director of Patient Access to develop, evaluate, and implement individual training plans and staff development programs.
• Implement and monitor activities related to the financial budget as directed.
• Conduct routine audits on patient accounts to verify compliance with policy.
• Attend and participate in at least eight hours of compliance‑related training annually, in addition to hospital‑wide compliance training.
• Participate in, support, and complete all DCH training activities.
• Continuously expand knowledge of patient accounting, the revenue cycle, and related departmental functions.
• Accept constructive criticism and integrate suggestions effectively.
• Attend workshops, seminars, and meetings as indicated.
• Serve as a positive role model for patient‑access staff, promoting teamwork and cooperation.
• Organize personnel, coordinate, and prioritize workflow.
• Take ownership of the job and provide useful information to minimize problems and streamline processes.
• Actively search for solutions, bringing ideas and recommendations to the department director.
• Demonstrate excellent leadership and supervisory skills.
• Exercise good judgment and maintain a professional approach when dealing with others.
• Hold staff accountable for achieving performance measures.
• Apply analytical skills to address complex issues.
• Understand proper collection techniques and regulations.
• Interpret complex managed‑care contracts as required.
• Assist the Department Director in identified areas.
• Achieve proficiency in EPIC ADT, Prelude, and Benefit systems.

Education and Experience

• Associate’s Degree (A.A.) from a two‑year college.
• Minimum of three years of direct patient‑access or revenue‑cycle management experience in a Manager or Assistant Manager role; or ten years of direct patient‑access or revenue‑cycle experience and/or training in a revenue‑cycle leadership position.
• Demonstrated knowledge of governmental billing regulations pertaining to Medicare and Medicaid.